NPI | 1952534182 |
---|---|
Doing Business As | ADVANCED DERMATOLOGY AND COSMETIC SURGERY |
Entity Type | Organization |
Authorized Contact | NEFRITA LOGAN Provider Service Rep 407-875-2080 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207N00000X Dermatology |
Enumeration Date | 2009-09-04 |
Last Update Date | 2010-07-09 |